2020 Non-Marketplace Health Insurance Plans

Select Plan to Review

*RX Coverage: Generic/Preferred Brand/Non-Preferred Brand Copay.

When you click one of the View buttons below, your Summary of Benefits and Coverage or Policy will pull up in PDF Format.
Al hacer clic en uno de los botones de Ver que están a continuación, su Resumen de Beneficios y Cobertura o póliza saldrá a la ver en formato PDF.

SBC SBC en Español Policy Póliza en Español Plan Number Network Maternity In-Network
Deductible Amount
Primary Care
Practitioner/Specialist
Copay
Telehealth
Services
Coinsurance
Percent
Out-of-Pocket
Maximum
RX Coverage*
View Ver View Ver Bronze B07S S Yes $5,650 Individual/  $11,300 Family ded/coins ded/coins 50% $6650 Individual/  $13300 Family ded/coins
View Ver View Ver Bronze B08S S Yes $8,150 Individual/  $16,300 Family ded/coins $0 - 1st consult; $10 copay - all other consults 0% $8,150 Individual/  $16,300 Family ded/coins
View Ver View Ver Bronze B09S S Yes $4,800 Individual/  $9,600 Family $35 after ded / $50 after ded $0 - 1st consult; $10 copay - all other consults 50% $8,000 Individual/  $16,000 Family $10/$35/$50 after ded
View Ver View Ver Bronze B10S S Yes $6,600 Individual/  $13,200 Family ded/coins $0 - 1st consult; $10 copay - all other consults 50% $8,150 Individual/  $16,300 Family ded/coins$10/$35/$60 PRx
View Ver View Ver Gold G06S S Yes $1,850 Individual/  $3,700 Family $35 / $50 $0 - 1st consult; $10 copay - all other consults 20% $6,350 Individual/  $12,700 Family $8/$35/$60
View Ver View Ver Silver S01S S Yes $700 Individual/  $1,400 Family ded/coins $0 - 1st consult; $10 copay - all other consults 50% $7,800 Individual/  $15,600 Family ded/coins$10/$35/$60 PRx
View Ver View Ver Silver S04S S Yes $3,500 Individual/  $7,000 Family ded/coins $0 - 1st consult; $10 copay - all other consults 50% $8,150 Individual/  $16,300 Family ded/coins$10/$35/$60 PRx
View Ver View Ver Silver S20S S Yes $5,600 Individual/  $11,200 Family ded/coins $0 - 1st consult; $10 copay - all other consults 50% $6,500 Individual/  $13,000 Family ded/coins$10/$35/$60 PRx